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加纳耳鼻喉科诊所就诊患者中与自我耳部护理经历相关的不适感。

Discomforting sensations associated with self-induced ear care experiences among patients visiting the ear, nose, and throat clinic in Ghana.

作者信息

Donkor Judith Agyeiwaa, Agyare Veronica Adwoa, Mensah Olivia Nyarko

机构信息

Ear, Nose and Throat Department, Effia-Nkwanta Western Regional Hospital, Takoradi, Ghana.

Ghana College of Nurses and Midwives, Accra, Ghana.

出版信息

BMC Public Health. 2025 Aug 13;25(1):2750. doi: 10.1186/s12889-025-23991-8.

Abstract

Self-induced ear care is considered a bad practice and is associated with several complications. Usually, it consists of activities and habits that an individual adopts with the view of self-treating and maintaining the cleanliness of the ears. Most patients in Ghana who report to the hospital with ear conditions often mention self-initiated ear care at home prior to their hospital visit. It is a worry due to the impact on an individual's hearing and overall quality of life. This study, therefore, aimed to explore and describe the self-induced ear care experiences among patients who access services at an Ear, Nose and Throat Clinic in Ghana. The study used an exploratory descriptive qualitative design among patients who have been practising self-induced ear care and patients who have experienced or are experiencing complications from self-induced ear care. Upon the consent of participants, interviews were conducted and audio-recorded. Data was analysed using thematic analysis. The study findings revealed that when participants encountered an ear problem, they preferred engaging in self-induced ear care based on their intentions, beliefs and evaluation of the consequences of their actions. They were poking the ears with their fingers, using safety/hair pins, chicken features, broomsticks, herbs, Dr. Côte d'Ivoire ointment, and cotton wool rather than reporting to the hospital. However, they became reoriented, dissociating themselves from self-induced ear care after encountering complications associated with it and gaining insight into the cause of their condition. In conclusion, stakeholders should sensitise the public to the dangers of self-induced ear care and develop educational strategies to address the knowledge gap and promote positive health-seeking behaviour towards all ear problems.

摘要

自我诱导式耳部护理被认为是一种不良做法,且与多种并发症相关。通常,它包括个人为自我治疗和保持耳部清洁而采取的活动和习惯。在加纳,大多数因耳部疾病前往医院就诊的患者在就诊前常常提及在家中自行进行的耳部护理。这令人担忧,因为它会对个人听力和整体生活质量产生影响。因此,本研究旨在探索和描述在加纳一家耳鼻喉诊所接受服务的患者的自我诱导式耳部护理经历。该研究在一直进行自我诱导式耳部护理的患者以及经历过或正在经历自我诱导式耳部护理并发症的患者中采用了探索性描述性定性设计。在获得参与者同意后,进行了访谈并录音。数据采用主题分析法进行分析。研究结果显示,当参与者遇到耳部问题时,他们基于自己的意图、信念以及对自身行为后果的评估,更倾向于进行自我诱导式耳部护理。他们用手指戳耳朵、使用安全别针/发夹、鸡毛、扫帚柄、草药、科特迪瓦医生药膏和棉球,而不是前往医院就诊。然而,在遇到与自我诱导式耳部护理相关的并发症并深入了解自身病情的原因后,他们改变了做法,不再进行自我诱导式耳部护理。总之,利益相关者应提高公众对自我诱导式耳部护理危害的认识,并制定教育策略来填补知识空白,促进针对所有耳部问题的积极就医行为。

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